Download PDF
CC BY 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0044-1787550
Relato de caso

Fixation of an Osteochondral Fragment with Autologous Bone Picks in the Knee – A Case Report[*]

Article in several languages: português | English
Elemar da Silva Resch 
1   Ortopedia e Traumatologia, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
,
Sandrey da Rosa Machry 
1   Ortopedia e Traumatologia, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
,
Caio César Zottis
2   Ortopedia e Traumatologia, Hospital Independência, Porto Alegre, RS, Brasil
,
Fernando Knoll Barros 
1   Ortopedia e Traumatologia, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
› Author Affiliations Financial Support The authors did not receive any financial support from public, commercial, or not-for-profit sources.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Osteochondral injuries in the knee are uncommon in the immature skeleton and are usually related to sporting activities.

Fixation is required depending on the size and location of the fragment. The standard technique is open reduction and internal fixation with metal screws, which are removed in a second procedure after consolidation.

As an alternative to reduce risk and morbidity, fixation of the osteochondral fragment may use autologous bone picks.

This study reports the execution of this surgical technique on a 13-year-old patient who injured his right knee during a soccer match.

Keywords

bone and bones - knee fractures - osteochondritis

* Study performed at the Hospital Universitário de Santa Maria, Santa Maria, RS, Brazil.




Publication History

Received: 29 May 2023

Accepted: 21 July 2023

Article published online:
01 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Armiento AR, Stoddart MJ, Alini M, Eglin D. Biomaterials for articular cartilage tissue engineering: Learning from biology. Acta Biomater 2018; 65: 1-20
    CrossrefPubMedSearch in Google Scholar
  • 2 Levy AS, Lohnes J, Sculley S, LeCroy M, Garrett W. Chondral delamination of the knee in soccer players. Am J Sports Med 1996; 24 (05) 634-639
    CrossrefPubMedSearch in Google Scholar
  • 3 Walsh SJ, Boyle MJ, Morganti V. Large osteochondral fractures of the lateral femoral condyle in the adolescent: outcome of bioabsorbable pin fixation. J Bone Joint Surg Am 2008; 90 (07) 1473-1478
    CrossrefPubMedSearch in Google Scholar
  • 4 Nakayama H, Yoshiya S. Bone peg fixation of a large chondral fragment in the weight-bearing portion of the lateral femoral condyle in an adolescent: a case report. J Med Case Reports 2014; 8: 316
    CrossrefPubMedSearch in Google Scholar
  • 5 Severino NR, Camargo OPA, Aihara T. et al. Comparação entre a ressonância magnética e a artroscopia no diagnóstico das lesões do joelho. Rev Bras Ortop 1997; 32 (04) 275-278
    Search in Google Scholar
  • 6 Gillespie HS, Day B. Bone peg fixation in the treatment of osteochondritis dissecans of the knee joint. Clin Orthop Relat Res 1979; (143) 125-130
    PubMedSearch in Google Scholar
  • 7 Victoroff BN, Marcus RE, Deutsch A. Arthroscopic bone peg fixation in the treatment of osteochondritis dissecans in the knee. Arthroscopy 1996; 12 (04) 506-509
    CrossrefPubMedSearch in Google Scholar
  • 8 Navarro R, Carneiro Filho M, Cohen M, Silva RT. Tratamento artroscópico da osteocondrite dissecante do joelho (OCDJ) por meio de “palitos ósseos” autólogos. Rev Bras Ortop 1997; 32 (12) 959-962
    Search in Google Scholar
  • 9 Finkemeier CG. Bone-grafting and bone-graft substitutes. J Bone Joint Surg Am 2002; 84 (03) 454-464
    CrossrefPubMedSearch in Google Scholar